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Psoriasis Club › HealthHealth Boards › Prescribed Treatments For Psoriasis v
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Humira Every Week & No Methotrexate

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Humira Every Week & No Methotrexate
Forest Walker Offline
100 + Member I'd Rather Be Roller Skating

100 + Member I Just Cant Stop !
Posts: 9,396
Threads: 125
Joined: Aug 2021
Gender: Female
Location: Northern Washington State
Treatment: Humira, Moisturizers, Triamcinolonoe Acetonide
#1
Sat-02-07-2022, 13:44 PM
The last dose of Methotrexate was on May 5, 2022.  The daily nausea side effect gradually worsened over the five months I tried the medicine.  My skin did mostly clear, though, leaving only very small patches and discoloration where the worst patches were, but it was mostly smooth and free of itch.

Gradually, the skin grew new patches with variable itchiness.  

I increased my dose of Humira (primarily used for Crohn's Disease since 2012) on June 9 to taking it every week rather than every other week.  

First off, I felt better, overall, quickly.  My breathing improved noticeably (I have Crohn's in my lungs as well as gut).  And my energy levels improved.  

My gastroenterologist and I came up with this plan to give weekly Humira a try, just in case it would help the rashes (or make them worse) before switching to something else.  Blood tests had shown the levels of Humira in my sample were barely inside the therapeutic range.  

I'll repeat a spirometry breathing test in August and consult with pulmonologist afterward to see if the breathing  improvement is in my imagination or verifiable.  So many doctor co-pays!  Sigh.

So . . . in the first couple of days after I take the weekly dose of Humira, the rashes look better.  They are mainly where I sweat while skating, lower legs and groin.  But they are nowhere near as wide spread and uncomfortable as they were before using Methotrexate.

I'm using a mild steroidal ointment only between a couple toes on each foot and only rarely.  I've used an over the counter hydrocortisone cream on the spots in my genital area a little more often but not daily.  If I use the steroid ointments later on, I'll be much more cautious because I believe they made the patches worse in the long run as I used them last year under the advice of the first dermatologist I saw (he was an arrogant man who did not give good advice for steroid usage).

My second dermatologist (she's very good!) is on maternity leave but will return soon. I have an appointment with her on August 2.

That's my update for now.  Thanks for reading.
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KatT Offline
100 + Member I Just Cant Stop !

100 + Member I Just Cant Stop !
Posts: 5,775
Threads: 50
Joined: Sep 2019
Gender: Female
Location: Canada
Psoriasis Score: 1
Psoriatic Arthritis Score: Off the chart!
Treatment: Simponi + hydroxychloroquine + MTX
#2
Sat-02-07-2022, 15:40 PM
Glad you are feeling better and seeing improvements.  Hope it continues to improve  Bigarm

I didn't know someone could get Crohn's in the lungs  eek  that must not be very common.  Therefore lung inflammation.  Does that mean you get pleural effusions? 

Hope Humira keeps this under control too!!!
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Fred Online
I Wanted To Change the World But Got Up Far Too Late.
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Posts: 66,851
Threads: 3,885
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Gender: Male
Location: France
Psoriatic Arthritis Score: 1
PQOLS: 1
Treatment: Bimzelx / Coconut Oil
#3
Sat-02-07-2022, 16:23 PM
Hope it keeps working FW, better to be without methotrexate.  Wink

*I'll move this thread to Prescribed Treatments For Psoriasis as it's better suited there.
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Forest Walker Offline Author
100 + Member I'd Rather Be Roller Skating

100 + Member I Just Cant Stop !
Posts: 9,396
Threads: 125
Joined: Aug 2021
Gender: Female
Location: Northern Washington State
Treatment: Humira, Moisturizers, Triamcinolonoe Acetonide
#4
Sun-03-07-2022, 13:05 PM
(Sat-02-07-2022, 15:40 PM)KatT Wrote: Glad you are feeling better and seeing improvements.  Hope it continues to improve  Bigarm

I didn't know someone could get Crohn's in the lungs  eek  that must not be very common.  Therefore lung inflammation.  Does that mean you get pleural effusions? 

Hope Humira keeps this under control too!!!

Thanks, KatT and Fred.  No pleural effusions, thankfully.  It shows up as Interstitial Lung Disease and Bronchiectasis. I had a lung biopsy in early 2007 that showed granuloma cells similar to those from prior biopsies of small bowel. It is not common.  It's just bad luck.  But good luck that it's responding to Humira.  And a reason I'm fearful of switching from Humira to a different medication, such as Stelara.

Before Humira was approved for Crohn's in 2007, I was not expecting to live more than a few more years and was pretty ill, overall.  In an earlier post, I wrote that I started Humira in 2012, but that year was wrong.  It was 2007.  I returned to roller skating in 2012.   Rolleyes  Two significant dates in my life.  The skating is really good for the lungs and overall happiness.  The weekly Humira is really helping to make deep breaths easier.  

For now, the patches are small and not too troublesome.  The itching is a little worse if I drink more than one glass of wine, as far as alcohol goes.
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KatT Offline
100 + Member I Just Cant Stop !

100 + Member I Just Cant Stop !
Posts: 5,775
Threads: 50
Joined: Sep 2019
Gender: Female
Location: Canada
Psoriasis Score: 1
Psoriatic Arthritis Score: Off the chart!
Treatment: Simponi + hydroxychloroquine + MTX
#5
Mon-04-07-2022, 04:59 AM
(Sun-03-07-2022, 13:05 PM)Forest Walker Wrote:
(Sat-02-07-2022, 15:40 PM)KatT Wrote: Glad you are feeling better and seeing improvements.  Hope it continues to improve  Bigarm

I didn't know someone could get Crohn's in the lungs  eek  that must not be very common.  Therefore lung inflammation.  Does that mean you get pleural effusions? 

Hope Humira keeps this under control too!!!

Thanks, KatT and Fred.  No pleural effusions, thankfully.  It shows up as Interstitial Lung Disease and Bronchiectasis. I had a lung biopsy in early 2007 that showed granuloma cells similar to those from prior biopsies of small bowel. It is not common.  It's just bad luck.  But good luck that it's responding to Humira.  And a reason I'm fearful of switching from Humira to a different medication, such as Stelara.

Before Humira was approved for Crohn's in 2007, I was not expecting to live more than a few more years and was pretty ill, overall.  In an earlier post, I wrote that I started Humira in 2012, but that year was wrong.  It was 2007.  I returned to roller skating in 2012.   Rolleyes  Two significant dates in my life.  The skating is really good for the lungs and overall happiness.  The weekly Humira is really helping to make deep breaths easier.  

For now, the patches are small and not too troublesome.  The itching is a little worse if I drink more than one glass of wine, as far as alcohol goes.

Glad to hear it is controlling Crohn's in the lungs also Smile  

I can't even imagine what you were going through prior to Humira....you are a strong and though cookie!!!  I understand why you are fearful of changing biologics when Humira keeps it under control.  Crohn's is a terrible disease Confused
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Forest Walker Offline Author
100 + Member I'd Rather Be Roller Skating

100 + Member I Just Cant Stop !
Posts: 9,396
Threads: 125
Joined: Aug 2021
Gender: Female
Location: Northern Washington State
Treatment: Humira, Moisturizers, Triamcinolonoe Acetonide
#6
Mon-04-07-2022, 14:01 PM
Thanks, KatT.   Heart
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jiml Offline
100 + Member I Just Cant Stop !

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Posts: 47,972
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Location: Norwich England
Psoriasis Score: 3
Treatment: Skilarence 5x120mg a day
#7
Fri-08-07-2022, 10:53 AM
Good to read things are looking better on the increased Humira and the skin seems to be clearing well, I'm glad you dropped methotrexate as I found it a drug that made me nauseous to the extent that I would rather suffer the psoriasis than endure the methotrexate side effects
I don't know anything about Crohn's but hope the double dose also help's that for you
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Forest Walker Offline Author
100 + Member I'd Rather Be Roller Skating

100 + Member I Just Cant Stop !
Posts: 9,396
Threads: 125
Joined: Aug 2021
Gender: Female
Location: Northern Washington State
Treatment: Humira, Moisturizers, Triamcinolonoe Acetonide
#8
Fri-08-07-2022, 13:43 PM
(Fri-08-07-2022, 10:53 AM)jiml Wrote: Good to read things are looking better on the increased Humira and the skin seems to be clearing well, I'm glad you dropped methotrexate as I found it a drug that made me nauseous to the extent that I would rather suffer the psoriasis than endure the methotrexate side effects
I don't know anything about Crohn's but hope the double dose also help's that for you

I feel the same way about Methotrexate.  I would rather suffer the Psoriasis than the side effects of that medicine.  Well, so long as the Psoriasis isn't too out of control.  I had recently reacted to a stressful couple of days with a great deal more itching.  But I'd still rather take this itching than the nausea.  That was not pleasant.  Nausea every single day not pleasant.
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Turnedlight Offline
100 + Member I Just Cant Stop !

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Posts: 6,076
Threads: 62
Joined: Apr 2015
Gender: Female
Location: Uk
Treatment: Skyrizi
#9
Tue-19-07-2022, 13:50 PM
(Fri-08-07-2022, 13:43 PM)Forest Walker Wrote:
(Fri-08-07-2022, 10:53 AM)jiml Wrote: Good to read things are looking better on the increased Humira and the skin seems to be clearing well, I'm glad you dropped methotrexate as I found it a drug that made me nauseous to the extent that I would rather suffer the psoriasis than endure the methotrexate side effects
I don't know anything about Crohn's but hope the double dose also help's that for you

I feel the same way about Methotrexate.  I would rather suffer the Psoriasis than the side effects of that medicine.  Well, so long as the Psoriasis isn't too out of control.  I had recently reacted to a stressful couple of days with a great deal more itching.  But I'd still rather take this itching than the nausea.  That was not pleasant.  Nausea every single day not pleasant.

I’m glad you got away from it, horrible stuff. Do you ever feel like the docs get annoyed when you don’t get along with a drug or are they good about it?
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Caroline Offline
You must hurry if you ever want to catch a chicken...
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Treatment: Got back to DMF slow release
#10
Tue-19-07-2022, 21:15 PM
(Tue-19-07-2022, 13:50 PM)Turnedlight Wrote:
(Fri-08-07-2022, 13:43 PM)Forest Walker Wrote:
(Fri-08-07-2022, 10:53 AM)jiml Wrote: Good to read things are looking better on the increased Humira and the skin seems to be clearing well, I'm glad you dropped methotrexate as I found it a drug that made me nauseous to the extent that I would rather suffer the psoriasis than endure the methotrexate side effects
I don't know anything about Crohn's but hope the double dose also help's that for you

I feel the same way about Methotrexate.  I would rather suffer the Psoriasis than the side effects of that medicine.  Well, so long as the Psoriasis isn't too out of control.  I had recently reacted to a stressful couple of days with a great deal more itching.  But I'd still rather take this itching than the nausea.  That was not pleasant.  Nausea every single day not pleasant.

I’m glad you got away from it, horrible stuff. Do you ever feel like the docs get annoyed when you don’t get along with a drug or are they good about it?

I remember that we kept reasonably quiet when Forest started to use it some time ago, but we already knew that this had a high probability of happening. Smile
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